| NPI | 1275609000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35122021) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C50802) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-01-25 |